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General NPI Number Information
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NPI Number | 1871831131
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Entity Type | Individual
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Provider Name | SHAWN W MOFFITT LCMHC, LCAS, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 110 CHALET DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-7767
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Country | US
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Telephone | 919-309-6569
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CHALET DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-7767
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Country | US
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Telephone | 919-309-6569
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-3442
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10345
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License Number State | NC
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